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Ambivalence over emotional expression, intrusive thoughts, and posttraumatic stress symptoms among Chinese American breast cancer survivors

Published on Oct 1, 2017in Supportive Care in Cancer2.754
· DOI :10.1007/s00520-017-3744-2
Qian Lu19
Estimated H-index: 19
(UH: University of Houston),
Nelson C. Y. Yeung10
Estimated H-index: 10
(UH: University of Houston)
+ 3 AuthorsSidra H. Deen1
Estimated H-index: 1
(UH: University of Houston)
Abstract
Objective Posttraumatic stress symptoms (PTSS) are common among breast cancer survivors. However, the association and the underlying mediating mechanism between psychosocial factors and PTSS were rarely investigated among breast cancer survivors. Previous studies have suggested the importance of emotional expression in cancer survivors’ PTSS. This study examined the association between ambivalence over emotional expression (AEE; defined as the conflict between the desire to express feelings and the fear of its consequences) and PTSS, and proposed intrusive thoughts as the mediators in such an association. We tested this proposed mediation model among Chinese breast cancer survivors whose culture discourages emotional expression.
  • References (46)
  • Citations (4)
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References46
Newest
#1Jennifer L. BryanH-Index: 5
#2Michelle C. QuistH-Index: 5
Last. Qian LuH-Index: 19
view all 5 authors...
ABSTRACTThe detrimental effect of ambivalence over emotional expression (AEE) on social support has been well documented. However, the underlying mechanism of this effect remains unclear. Research has demonstrated that when general needs are not met, negative psychological outcomes occur. Thus, the current study investigated general needs satisfaction (GNS) as a potential mediator of the association between AEE and social support among 352 undergraduates. Results revealed that AEE was negatively...
2 CitationsSource
#1Qian Lu (UH: University of Houston)H-Index: 19
#2Jenny Man (UH: University of Houston)H-Index: 3
Last. Angie S. LeRoy (UH: University of Houston)H-Index: 6
view all 4 authors...
Abstract Objective Ambivalence over emotional expression (AEE) is the conflict between wanting to express emotion yet fearing the consequences of such expression. Recent literature reveals a close link between AEE and depressive symptoms among college students. Although cancer survivors experience intense emotions, few studies have examined the relationship between AEE and depressive symptoms and the underlying mechanisms among cancer survivors. Furthermore, relevant research is absent among Asi...
15 CitationsSource
#1Qian LuH-Index: 19
#2Jin YouH-Index: 6
Last. Lucy YoungH-Index: 4
view all 5 authors...
Breast cancer is the leading cancer among Asian American women, and the incidence of breast cancer among subgroups of Asian women is rising (Gomez et al., 2010). Despite the increasing size of the Asian American population (17.3 million) (U.S. Census Bureau, 2010) and the growing rate of breast cancer in that population, little attention has been focused on the informational and psychological needs of Asian American breast cancer survivors (Lee et al., 2013). Past research has shown that social ...
26 CitationsSource
#1Jin You (WHU: Wuhan University)H-Index: 6
#2Qian Lu (UH: University of Houston)H-Index: 19
Introduction Social support has shown to improve adjustment among cancer survivors. However, it is unclear how health benefits of social support depend on the source of support, age, and gender. Chinese culture emphasizes relationship harmony and interdependence, providing a unique opportunity to address these questions. This study investigated how support from different sources was associated with adjustment to cancer and how the association was moderated by gender and age.
19 CitationsSource
#1Patricia A. ResickH-Index: 64
#2Candice M. MonsonH-Index: 19
Last. Kathleen M. ChardH-Index: 30
view all 3 authors...
24 CitationsSource
#1Neomi Vin-Raviv (Columbia University)H-Index: 8
#2Grace Clarke Hillyer (Columbia University)H-Index: 13
Last. Alfred I. Neugut (Columbia University)H-Index: 81
view all 15 authors...
A growing body of evidence suggests that the experience of being diagnosed with breast cancer, a potentially life-threatening event, is associated with substantial psychological distress (1–3). Posttraumatic stress disorder (PTSD) is a psychiatric diagnosis characterized by the development of re-experiencing, avoidance, and increased arousal symptoms after exposure to a traumatic event (4). In 1994, the trauma criteria for PTSD in the Diagnostic and Statistical Manual of Mental Disorders, Fourth...
48 CitationsSource
#1Lung Hung Chen (National Taiwan Sport University)H-Index: 16
#2Mei-Yen Chen (National Taiwan Sport University)H-Index: 9
Last. Ying Mei Tsai (CTUST: Central Taiwan University of Science and Technology)H-Index: 4
view all 3 authors...
The psychological benefit of gratitude has been well demonstrated in previous studies. However, when we examined these studies closely, we found that the moderators were rarely investigated, suggesting that further work is needed to explore the boundaries of gratitude In this regard, the authors have proposed that ambivalence over emotional expression might be a potential moderator that would inhibit the beneficial effect of gratitude on well-being. Two studies were conducted to examine our hypo...
19 CitationsSource
#1Denise M. Sloan (BU: Boston University)H-Index: 31
#2Brian P. Marx (BU: Boston University)H-Index: 24
Last. Matthew W. Gallagher (BU: Boston University)H-Index: 24
view all 5 authors...
Abstract The present study examined the efficacy of a brief, written exposure therapy (WET) for posttraumatic stress disorder (PTSD). Participants were 46 adults with a current primary diagnosis of motor vehicle accident-related PTSD. Participants were randomly assigned to either WET or a waitlist (WL) condition. Independent assessments took place at baseline and 6-, 18-, and 30-weeks post baseline (WL condition not assessed at 30 weeks). Participants assigned to WET showed significant reduction...
43 CitationsSource
#1Qian Lu (UH: University of Houston)H-Index: 19
#2Dianhan Zheng (UH: University of Houston)H-Index: 4
Last. Alice LohH-Index: 4
view all 5 authors...
Cancer is the leading cause of death for Asian Americans and breast cancer is the most common cancer in Asian women (Kwong, Chen, Snipes, Bal, & Wright, 2005). Despite that currently an estimated 17.3 million U.S. residents identify themselves as Asian (U.S. Census Bureau, 2010), their quality of life and overall health during cancer survivorship have been overlooked (Yoo, Levine, Aviv, Ewing, & Au, 2010). Due to social, cultural, and linguistic factors, culturally competent mental health care i...
45 CitationsSource
#1Adriel Boals (UNT: University of North Texas)H-Index: 20
#2Darnell Schuettler (UNT: University of North Texas)H-Index: 6
Previous research has demonstrated negative mental health consequences (including PTSD symptoms) of construing a potentially traumatic event as central to one's identity. In the current paper, we replicated an association between event centrality and PTSD symptoms. We also found event centrality similarly predicts posttraumatic growth (PTG) even after controlling for PTSD symptoms, depression, DSM-IV A1 and A2 status of the event, coping styles and cognitive processing of the event. Because pred...
59 CitationsSource
Cited By4
Newest
#1Mao‐Mao Zhang (Anhui Medical University)
#2Ya‐Juan Yang (Anhui Medical University)H-Index: 1
Last. Hui-Ping Li (Anhui Medical University)H-Index: 2
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Source
#1Lili Ji (WMU: Weifang Medical University)
#2William Tsai (NYU: New York University)H-Index: 7
Last. Guo hua Lu (WMU: Weifang Medical University)
view all 7 authors...
Source
#1Ivan H.C. Wu (University of Texas MD Anderson Cancer Center)H-Index: 4
#2Lorna Haughton McNeill (University of Texas MD Anderson Cancer Center)H-Index: 12
Last. Qian Lu (UH: University of Houston)H-Index: 19
view all 3 authors...
Objective The psychosocial correlates of physical functioning and limitations are not well-known among Chinese breast cancer survivors. Previous research suggests a link between ambivalence over emotional expression (AEE) and physical functioning. The current study built upon this research by examining post-traumatic stress symptoms (PTSS) as a mechanism. Further, we also examined the moderating effects of mainstream cultural orientation. To this end, we tested study hypotheses using moderated m...
Source
#1William Tsai (CSUSM: California State University San Marcos)H-Index: 7
#2Qian Lu (UH: University of Houston)H-Index: 19
Purpose The present study examined perceived social support as a mediator of the longitudinal link between ambivalence over emotional expression (AEE) and quality of life among a sample of Chinese breast cancer survivors.
1 CitationsSource